Association of HsCAR with MAFLD and Liver Fibrosis: a Cross-sectional Study
Recruiting · NCT05974904 · Observational (researchers observe without assigning treatment) · Lead sponsor: Chongqing Medical University
View the official record on ClinicalTrials.gov →Interventions studied
high-sensitivity C-reactive protein to albumin ratio
What this trial is about
The goal of this observational study is to investigate the associations between a novel inflammatory marker, high sensitivity C-reactiveprotein to albumin ratio (hsCAR), and steatosis and fibrosis of metabolic dysfunction-associated fatty liver disease (MAFLD). The main question\[s\] it aims to answer are: \[question 1\] Can hsCAR serve as a clinical indicator to determine whether a patient has MAFD? \[question 2\] Can hsCAR determine whether MAFLD patients are complicated with liver fibrosis?
Who can take part
Age range
18 Years to 90 Years
Sex
All (male and female)
Healthy volunteers
No - a diagnosis or condition is required
Phase
Not specified
Study type
Observational (researchers observe without assigning treatment)
Inclusion criteria
- Total participants from NHANES 2017-2020
- Participants diagnosed with MAFLD. Metabolic dysfunction-associated fatty liver disease (MAFLD) is the term used to describe hepatic steatosis in the presence of metabolic abnormalities, excess weight, obesity, or type 2 diabetic mellitus.
- Diagnosis of diabetes mellitus: (1) taking glucose-lowering drugs; (2) HbA1c ≥ 6.5% (48 mmol/mol); (3) fasting plasma glucose ≥ 7.0 mmol/L (126 mg/dL); (4) 2-hour plasma glucose (2hPG) ≥ 11.1 mmol/L (200 mg/dL).
- Overweight or obesity: defined as BMI≥25 kg/m2 in Caucasians or BMI≥23 kg/m2 in Asians
- If presence of at least two metabolic risk abnormalities:
- Waist circumference≥102/88 cm in Caucasian men and women (or≥90/80 cm in Asian men and women)
- Blood pressure≥130/85 mmHg or specific drug treatment
- Plasma triglycerides≥150 mg/dl (≥1.70 mmol/L) or specific drug treatment
- Plasma HDL-cholesterol \<40 mg/dl (\<1.0 mmol/L) for men and \<50 mg/dl (\<1.3 mmol/L) for women or specific drug treatment
- Prediabetes (i.e., fasting glucose levels 100 to 125 mg/dl \[5.6 to 6.9 mmol/L\], or 2-hour post-load glucose levels 140 to 199 mg/dl \[7.8 to 11.0 mmol\] or HbA1c 5.7% to 6.4% \[39 to 47 mmol/mol\])
- Homeostasis model assessment of insulin resistance score≥2.5
- Plasma high-sensitivity C-reactive protein level \>2 mg/L
Exclusion criteria
- Liver ultrasound data not available
- participants without complete clinical data
- participants under 18 years old
- participants with cancer.
Where it is running
1 location listed.
- The Second Affiliated Hospital of Chongqing Medical University - Chongqing, Chongqing Municipality, China